E19_14
Data Format
[combo] multiple-choiceDefinition
Endotracheal Tube location verification on the arrival at the Destination (if applicable)
XSD Data Type xs:integer XSD Domain (Simple Type) DestinationConfirmationOfTubePlacement
Multiple Entry Configuration Yes Accepts Null Yes
Required in XSD Yes
Field Values
4775
Auscultation of Bilateral Breath Sounds
4780 Colormetric CO2 Detector Confirmation 4785 Digital CO2 Confirmation
4795 Negative Auscultation of the Epigastrium 4800Visualization of the Chest Rising with ventilation
4805Visualization of Tube Passing Through the Cords -10 Not Known
4810 Waveform CO2 Confirmation -25 Not Applicable
Default Value
-20Not Recorded
Additional Information
Associated with Procedure (E19_03) if Airway Procedure leads to Intubation
Uses
Part of an EMS Medical Record
Reports on Medications and Skills performed along with Protocols used provide key performance evaluation tools Used in Quality Management for the evaluation of Care and EMS Agency Performance
Validation Rules:
Data Type Integer
Null Allowed Yes
Multi Entry Yes
Min value Max value
Acceptable Field Values From list above
Related Elements 19_03(Procedure), 19_13(TubeConfirmation)
Additional Rules If 19_14(TubeLocation) NOT= -20 then
19_03(Procedure) should equal 96.040, 96.041, 96.042, 31.120
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DESTINATION/TRANSFERRED TO CODE
E20_02
Data Format
[text]Definition
The code of the destination the patient was delivered or transferred to, if present and available
XSD Data Type xs:string XSD Domain (Simple Type) DestinationTransferredToCode
Multiple Entry Configuration No Accepts Null Yes
Required in XSD Yes Minimum Constraint 2 Maximum Constraint 50
Field Values
● Relevant Value for Data Element & Patient Care (facility code or EMS agency ID )
5070 Other 5071 VA or Military Hospital
5072 Out of State
Default Value
-20Not Recorded
Additional Information
Could be an editable single choice list box derived from Hospitals Served (D04_12) and Other Destinations (D04_14). This list also includes other EMS agencies to which care is transferred.
Use “VA or Military Hospital” for hospitals not licensed by the Florida Agency for Healthcare Administration (AHCA) Use “Out of State” for destinations outside of Florida
Use “other” for all other facilities with no code.
Uses
A component of the EMS Medical Record: Patient Care Report
Important for grouping or comparing data by Destination location and type which also allows data to be sorted by geographic areas in many agencies
Provides information on overall service area, patterns and times for agency configuration and evaluation
Validation Rules:
Data Type String
Null Allowed Yes
Multi Entry No
Min value Max value
Acceptable Field Values From list above
Related Elements 05_10(AtDestination)
Additional Rules If 05_10(AtDestination) exist then 20_02(DestinationCode) NOT -20
If E20_10 (Patient/Incident Disposition) equals 4850 Treated and Transported by EMS, then E20_02
(Destination/Transferred To Code) cannot equal -20 Not Recorded.
Page 117 of 182
DESTINATION ZIP CODE
E20_07
Data Format
[text]National Element
Definition
The destination zip code in which the patient was delivered or transferred to. A valid 5 – 10 character postal code in the US or foreign country.
XSD Data Type xs:string XSD Domain (Simple Type) Zip
Multiple Entry Configuration No Accepts Null Yes
Required in XSD Yes Minimum Constraint 2 Maximum Constraint 10
Field Values
● Relevant Value for Data Element & Patient Care
-25 Not Applicable
Default Value
-20Not Recorded
Additional Information
Can be 5 or 9 digit Zip Code
This refers to when the destination is a fixed location. It not, use ‘Not Applicable’.
Uses
A component of the EMS Medical Record: Patient Care Report Allows data to be sorted based on the destination location Allows data to describe patient's geographic destination
Important for grouping or comparing data by Destination location and type which also allows data to be sorted by geographic areas in many agencies
Provides information on overall service area, patterns and times for agency configuration and evaluation
Validation Rules:
Data Type String
Null Allowed Yes
Multi Entry No
Min value 2
Max value 10
Acceptable Field Values From list above
Related Elements 20_10(IncidentPatientDisp)
Additional Rules If E20_10 (Patient/Incident Disposition) equals 4850 Treated and Transported by EMS, then E20_07 (Destination Zip Code) cannot equal -20 Not Recorded.
Page 118 of 182
INCIDENT/PATIENT DISPOSITION
E20_10
Data Format
[combo] single-choiceNational Element
Definition
Type of disposition treatment and/or transport of the patient.
XSD Data Type xs:integer XSD Domain (Simple Type) IncidentPatientDisposition
Multiple Entry Configuration No Accepts Null No
Required in XSD Yes
Field Values
4815 Cancelled 4820 Dead at Scene
4825 No Patient Found 4830 No Treatment Required
4835 Patient Refused Care 4840 Treated and Released
4845 Treated, Transferred Care 4850 Treated, Transported by EMS
4855 Treated, Transported by Law Enforcement 4860 Treated, Transported by Private Vehicle
48351 Treated and Refused Transport 48302 Agency Assist
48301 Public Assist 48151 Cancelled On Scene – No Patient Contact
48303 Unit Assist
Default Value
Agency Specific from list above
Additional Information
The custom values for “assist” should be used as follows:
o Public Assist = providing assistance that is not necessarily emergency medical service such as helping up an elderly person who has fallen; there is no treatment delivered and no patient data is required
o Agency Assist = providing assistance to another EMS provider such as lift assist or multiple agencies responding to a call
o Unit Assist = providing assistance to another unit within your EMS provider agency such as multiple units working an MCI or cardiac call; the unit responsible for the patient (probably transport) will complete patient data; the other units would be listed only as “unit assist”
Uses
A component of the EMS Medical Record: Patient Care Report Allows data to be sorted based on the EMS disposition
Page 119 of 182
Validation Rules:
Data Type Integer
Null Allowed No
Multi Entry No
Min value Max value
Acceptable Field Values From list above
Related Elements 20_10(IncidentPatientDisp)
Additional Rules If E20_10(IncidentPatientDisp) = 4850 then E20_16(Reason) should not be -20 E20_07(DestinationZip) should not be -20 E05_10(AtDestination) should not be blank
If E20_02 (DestinationTransferredToCode) = -20, then E20_10 cannot equal 4850
If E20_07 (DestinationZipCode) = -20, then E20_10 cannot equal 4850
If E20_14 (TransportModeFromScene) = -20, then E20_10 cannot equal 4850
If E20_15 (ConditionOfPatientAtDestination) = -20, then E20_10 cannot equal 4850
If E20_16 (ReasonForChoosingDestination) = -20, then E20_10 cannot equal 4850
If E20_17 (TypeOfDestination) = -20, then E20_10 cannot equal 4850
NOTE: This element must be filled out on every call
Page 120 of 182
TRANSPORT MODE FROM SCENE
E20_14
Data Format
[combo] single-choiceNational Element
Definition
Indication whether or not lights and/or sirens were used on the vehicle while leaving scene
XSD Data Type xs:integer XSD Domain (Simple Type) TransportModeFromScene
Multiple Entry Configuration No Accepts Null Yes
Required in XSD Yes
Field Values
4955 Initial Lights and Sirens, Downgraded to No Lights or Sirens 4960 Initial No Lights or Sirens, Upgraded to Lights and Sirens
4965 Lights and Sirens 4970 No Lights or Sirens
Default Value
-20Not Recorded
Uses
A component of the EMS Medical Record: Patient Care Report Allows data to be sorted based on the transportation mode Allows data to describe transportation mode used by EMS
Validation Rules:
Data Type Integer
Null Allowed Yes
Multi Entry No
Min value Max value
Acceptable Field Values From list above
Related Elements 20_10(IncidentPatientDisp)
Additional Rules If 20_10(IncidentPatientDisp) = 4850 then 20_14 (TransportMode)
Page 121 of 182
CONDITION OF PATIENT AT DESTINATION
E20_15
Data Format
[combo] single-choiceDefinition
The condition of the patient after care by EMS
XSD Data Type xs:integer XSD Domain (Simple Type) ConditionOfPatientAtDestination
Multiple Entry Configuration No Accepts Null Yes
Required in XSD Yes
Field Values
4975 Improved 4980 Unchanged 4985 WorseDefault Value
-20Not RecordedUses
Outcome indicator Part of an EMS Medical Record
Used in Quality Management for the evaluation of Care and EMS Agency Performance
Validation Rules:
Data Type Integer
Null Allowed Yes
Multi Entry No
Min value Max value
Acceptable Field Values From list above
Related Elements 20_02(DestinationCode), 20_10(IncidentPatientDisp)
Additional Rules If 20_02(DestinationCode) NOT= -20 then 20_15 (PatientCondition)should not be -20
If 20_10(IncidentPatientDisp )= 4850 then 20_15 (PatientCondition) should not be -20
Page 122 of 182
REASON FOR CHOOSING DESTINATION
E20_16
Data Format
[combo] single-choiceNational Element
Definition
The reason the unit chose to deliver or transfer the patient to the destination
XSD Data Type xs:integer XSD Domain (Simple Type) ReasonForChoosingDestination
Multiple Entry Configuration No Accepts Null Yes
Required in XSD Yes
Field Values
4990 Closest Facility (none below) 4995 Diversion
5000 Family Choice 5005 Insurance Status
5010 Law Enforcement Choice 5015 On-Line Medical Direction
5020 Other 5025 Patient Choice
5030 Patient's Physicians Choice 5035 Protocol
5040 Specialty Resource Center
Default Value
-20Not Recorded
Uses
A component of the EMS Medical Record: Patient Care Report Allows data to be sorted based on the destination choice
Allows data to give a reason for choosing the patient’s destination which is important to document from a specialty care agency and diversion/overcrowding perspective
Validation Rules:
Data Type Integer
Null Allowed Yes
Multi Entry No
Min value Max value
Acceptable Field Values From list above
Related Elements 20_02(DestinationCode), 20_10(IncidentPatientDisp)
Additional Rules If 20_02(DestinationCode) NOT= -20 then 20_16 (Reason)should not be -20
If 20_10(IncidentPatientDisp) = 4850 then 20_16(Reason) should not be -20
Page 123 of 182
TYPE OF DESTINATION
E20_17
Data Format
[combo] single-choiceNational Element
Definition
The type of destination the patient was delivered or transferred to
XSD Data Type xs:integer XSD Domain (Simple Type) TypeOfDestination
Multiple Entry Configuration No Accepts Null Yes
Required in XSD Yes
Field Values
7270 Home
7280 Hospital 7290 Medical Office/Clinic
7300 Morgue 7320 Nursing Home
7330 Other 7340 Other EMS Responder (air)
7350 Other EMS Responder (ground) 7360 Police/Jail
Default Value
-20Not Recorded
Uses
A component of the EMS Medical Record: Patient Care Report
Allows data to be sorted or grouped based on the EMS transports destination type Allows data to describe EMS patient’s destination type
Validation Rules:
Data Type Integer
Null Allowed Yes
Multi Entry No
Min value Max value
Acceptable Field Values From list above
Related Elements 20_10(IncidentPatientDisp)
Additional Rules If 20_10(IncidentPatientDisp) = 4850 then 20_17(DestinationType) should not be -20
Page 124 of 182
EMERGENCY DEPARTMENT DISPOSITION
E22_01
Data Format
[combo] single-choiceNational Element
Definition
The known disposition of the patient from the Emergency Department (ED)
XSD Data Type xs:integer XSD Domain (Simple Type) EmergencyDepartmentDisposition
Multiple Entry Configuration No Accepts Null Yes
Required in XSD Yes
Field Values
5335 Admitted to Hospital Floor 5340 Admitted to Hospital ICU
5345 Death 5350 Not Applicable (Not Transported to ED)
5355 Released 5360 Transferred
-10 Not Known
Default Value
-20Not Recorded
Uses
Allows data to be sorted based on the EMS patient outcome Allows data to describe EMS patient outcome
Validation Rules:
Data Type Integer
Null Allowed Yes
Multi Entry No
Min value Max value
Acceptable Field Values From list above
Related Elements Additional Rules
Page 125 of 182
HOSPITAL DISPOSITION
E22_02
Data Format
[combo] single-choiceNational Element
Definition
Indication of how the patient was dispositioned from the hospital, if admitted.
XSD Data Type xs:integer XSD Domain (Simple Type) HospitalDisposition
Multiple Entry Configuration No Accepts Null Yes
Required in XSD Yes
Field Values
5365 Death 5370 Discharged
5375 Transfer to Hospital 5380 Transfer to Nursing Home
5385 Transfer to Other 5390 Transfer to Rehabilitation Facility
-10 Not Known
Default Value
-20Not Recorded
Uses
Allows data to be sorted based on the EMS patient outcome Allows data to describe EMS patient outcome
Validation Rules:
Data Type Integer
Null Allowed Yes
Multi Entry No
Min value Max value
Acceptable Field Values From list above
Related Elements Additional Rules
Page 126 of 182
RESEARCH SURVEY FIELD (VALUES)
E23_09
Data Format
[combo] single-choiceFlorida Custom Element
Definition
The type of alert that was called based on Florida EMS criteria.
XSD Data Type xs:integer XSD Domain (Simple Type) AlertType
Multiple Entry Configuration No Accepts Null Yes
Required in XSD Yes